The prevalence of psychiatric illness among patients attending dermatology clinics is high. Three major categories of disorder exist; Psychosomatic disorders, Primary psychiatric disorders and Secondary psychiatric disorders.

To investigate the relationship between Dermatological conditions, in particular Dermatitis Artefacta and Psychiatric disorders and to discuss course and management of these disorders.

All referrals from Dermatology clinics in South Dublin to the Psychiatry service over a six- month period were reviewed. Psychiatric Diagnosis was noted, the prevalence of each of these and their management.

90% of referrals had a psychiatric diagnosis. I focused on one particular case of a 22 year old woman referred by her dermatologist, presenting with bizarre, well-demarcated, linear lesions that appeared to develop "overnight". In joint consultation with the dermatology team, a diagnosis of Dermatitis Artefacta was made. In this review I discuss the features, associated psychopathology, epidemiology, aetiology and management of this rare condition.

Psychiatric illness should be considered in all patients attending dermatology clinics. If a psychiatric disorder is diagnosed, close collaboration between dermatologists and psychiatrists is essential if a favourable outcome is to be achieved.